Individual provider Active NPI

Kojo Akotua Asantey, MD

  • Obstetrics & Gynecology Physician
  • Ypsilanti, MI
National Provider Identifier
1992327258
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301511602 Issued in MI
Practice address
5333 McAuley Dr RM 2110
Ypsilanti, MI 48197-1097
Phone
(248) 551-3000
Fax
(248) 551-9426
NPI assigned
May 10, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301511602 MI Primary

Addresses

Primary practice location

5333 McAuley Dr RM 2110
Ypsilanti, MI 48197-1097

Mailing address

24 Frank Lloyd Wright Dr Ste J2000
Ann Arbor, MI 48105-9484
Phone (734) 747-6766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240821000917 MI Practitioner - Obstetrics/Gynecology 5496177867 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Iha Health Services Corporation Obstetrics & Gynecology CurrentSince May 16, 2024 Accepting new patients
Iha Health Services Corporation Obstetrics & Gynecology Current Accepting new patients
Iha Health Service Corporation Obstetrics & Gynecology CurrentSince May 16, 2024 Accepting new patients

Locations

24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400

128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

990 W Ann Arbor Trl
Ste 302
Plymouth, MI 48170
Phone (734) 414-1090

5333 McAuley Dr
Rm 2110
Ypsilanti, MI 48197
Phone (734) 712-3967

4990 W Clark Rd
Ste 200
Ypsilanti, MI 48197
Phone (734) 572-7500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1992327258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 FRANK LLOYD WRIGHT DR STE J2000",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481059484",
            "telephone_number": "734-747-6766",
            "fax_number": "734-222-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 MCAULEY DR RM 2110",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971097",
            "telephone_number": "248-551-3000",
            "fax_number": "248-551-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASANTEY",
        "first_name": "KOJO",
        "middle_name": "AKOTUA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-10",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301511602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.